For example, this incident case report template uses icons to indicate the purpose of each field: Its important to establish a systematic method for investigating incidents. Informative guides that provide in-depth expertise on popular topics within your industry. Finally, where more than one person is injured in an incident, create a unique report for each affected employee. Improve your incident reporting process by using a digital reporting tool, like Safesite, that integrates alerts and hazard resolution in a single place. of incident reporting in health care You can also use them to draw attention to specific fields and important pieces of information. Heres an incident report sample description of a slip or fall resulting in a fracture, written in narrative form: On Friday afternoon, February 3, 2019, at 2 p.m. in ABC Shipping Co. located in 13th Avenue, Applewood, one of the warehouse workers (John Keegan) slipped and fell while carrying heavy (85 lbs) inventory. Reporting Incidents | HHS.gov Other contributing causes (for example: a burned out light bulb in the area causing poor visibility). Around. Click here for full An Incident Report Template to Improve Your System, Safesites OSHA300 log integration feature, our guide to faster hazard recognition and resolution, How Employee Engagement Unlocks Safety Program Performance, 10 Things Safety Pros Must Know About the Ex Mod, The Ultimate Guide to Safety Reporting & KPIs, Safesites Step-by-Step Guide to Safety Program Digitization, Type of incident (injury, near miss, property damage, or theft), A narrative description of the incident, including the sequence of events and results of the incident, Video and/or 360-degree photographs of the scene, Description of the incident, including specific job site location, the sequence of events, and the results of the event, Associated hazards raised and resolved following the event, The affected individuals version of the events, Actions taken by concerned individuals after the incident, How the decision was made to call (or not to call) emergency services, Description of the incident, including specific job site location, sequence of events, and results of the event, Name of the chemical/pathogen/carcinogen, amount, concentration, and description of hazard labels/safety data sheets (SDS), Whether or not a contaminated sharp was involved, Description of injuries, including body part(s) exposed, length of exposure, and size of area exposed, Photographs of the scene and hazard labels involved, Select your inicent report type (injury, near miss, property damage, theft, or equipment failure) and location, date, and time, Input your incident description and an incident photo, Tag the person involved and witnesses from your team. If you cant find an icon that seems to be what you are looking for, type a key word in the Search field. Read & learn from the experiences of other organizations. Etc. Some cases use more advanced techniques like the Swiss cheese model or, One of the most powerful elements of an incident report is streamlining historical and current data to spot potential incidents in advance.